Diagnosis and management of hymenoptera venom allergy: British Society for Allergy and Clinical Immunology (BSACI) guidelines
Summary This guidance for the management of patients with hymenoptera venom allergy has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both a...
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Veröffentlicht in: | Clinical and experimental allergy 2011-09, Vol.41 (9), p.1201-1220 |
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creator | Krishna, M. T. Ewan, P. W. Diwakar, L. Durham, S. R. Frew, A. J. Leech, S. C. Nasser, S. M. |
description | Summary
This guidance for the management of patients with hymenoptera venom allergy has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and pediatricians practising allergy. During the development of these guidelines, all BSACI members were included in the consultation process using a web‐based system. Their comments and suggestions were carefully considered by the SOCC. Where evidence was lacking, consensus was reached by the experts on the committee. Included in this guideline are epidemiology, risk factors, clinical features, diagnostic tests, natural history of hymenoptera venom allergy and guidance on undertaking venom immunotherapy (VIT). There are also separate sections on children, elevated baseline tryptase and mastocytosis and mechanisms underlying VIT. Finally, we have made recommendations for potential areas of future research.
Cite this as: M. T. Krishna, P. W. Ewan, L. Diwakar, S. R. Durham, A. J. Frew, S. C. Leech and S. M. Nasser, Clinical & Experimental Allergy, 2011 (41) 1201–1220. |
doi_str_mv | 10.1111/j.1365-2222.2011.03788.x |
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This guidance for the management of patients with hymenoptera venom allergy has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and pediatricians practising allergy. During the development of these guidelines, all BSACI members were included in the consultation process using a web‐based system. Their comments and suggestions were carefully considered by the SOCC. Where evidence was lacking, consensus was reached by the experts on the committee. Included in this guideline are epidemiology, risk factors, clinical features, diagnostic tests, natural history of hymenoptera venom allergy and guidance on undertaking venom immunotherapy (VIT). There are also separate sections on children, elevated baseline tryptase and mastocytosis and mechanisms underlying VIT. Finally, we have made recommendations for potential areas of future research.
Cite this as: M. T. Krishna, P. W. Ewan, L. Diwakar, S. R. Durham, A. J. Frew, S. C. Leech and S. M. Nasser, Clinical & Experimental Allergy, 2011 (41) 1201–1220.</description><identifier>ISSN: 0954-7894</identifier><identifier>EISSN: 1365-2222</identifier><identifier>DOI: 10.1111/j.1365-2222.2011.03788.x</identifier><identifier>PMID: 21848758</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>ACE inhibitor ; Adult ; Allergies ; anaphylaxis ; Animals ; Arthropod Venoms - immunology ; Arthropod Venoms - therapeutic use ; baseline tryptase ; bee ; Child ; Children ; Desensitization, Immunologic ; Epidemiology ; Hirudinea ; hornet ; Humans ; Hymenoptera ; Hymenoptera - classification ; Hymenoptera - immunology ; Hypersensitivity ; Hypersensitivity - diagnosis ; Hypersensitivity - immunology ; Hypersensitivity - therapy ; IgE ; Immunotherapy ; Mastocytosis ; Risk Factors ; Society ; Tryptase ; Venom ; wasp ; β-blocker</subject><ispartof>Clinical and experimental allergy, 2011-09, Vol.41 (9), p.1201-1220</ispartof><rights>2011 Blackwell Publishing Ltd</rights><rights>2011 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5828-9b130050b36c755c352e98b487132bb999b9a6f4ee5a553154edf2c717476aa33</citedby><cites>FETCH-LOGICAL-c5828-9b130050b36c755c352e98b487132bb999b9a6f4ee5a553154edf2c717476aa33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2222.2011.03788.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2222.2011.03788.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21848758$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krishna, M. T.</creatorcontrib><creatorcontrib>Ewan, P. W.</creatorcontrib><creatorcontrib>Diwakar, L.</creatorcontrib><creatorcontrib>Durham, S. R.</creatorcontrib><creatorcontrib>Frew, A. J.</creatorcontrib><creatorcontrib>Leech, S. C.</creatorcontrib><creatorcontrib>Nasser, S. M.</creatorcontrib><creatorcontrib>British Society for Allergy and Clinical Immunology</creatorcontrib><title>Diagnosis and management of hymenoptera venom allergy: British Society for Allergy and Clinical Immunology (BSACI) guidelines</title><title>Clinical and experimental allergy</title><addtitle>Clin Exp Allergy</addtitle><description>Summary
This guidance for the management of patients with hymenoptera venom allergy has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and pediatricians practising allergy. During the development of these guidelines, all BSACI members were included in the consultation process using a web‐based system. Their comments and suggestions were carefully considered by the SOCC. Where evidence was lacking, consensus was reached by the experts on the committee. Included in this guideline are epidemiology, risk factors, clinical features, diagnostic tests, natural history of hymenoptera venom allergy and guidance on undertaking venom immunotherapy (VIT). There are also separate sections on children, elevated baseline tryptase and mastocytosis and mechanisms underlying VIT. Finally, we have made recommendations for potential areas of future research.
Cite this as: M. T. Krishna, P. W. Ewan, L. Diwakar, S. R. Durham, A. J. Frew, S. C. Leech and S. M. Nasser, Clinical & Experimental Allergy, 2011 (41) 1201–1220.</description><subject>ACE inhibitor</subject><subject>Adult</subject><subject>Allergies</subject><subject>anaphylaxis</subject><subject>Animals</subject><subject>Arthropod Venoms - immunology</subject><subject>Arthropod Venoms - therapeutic use</subject><subject>baseline tryptase</subject><subject>bee</subject><subject>Child</subject><subject>Children</subject><subject>Desensitization, Immunologic</subject><subject>Epidemiology</subject><subject>Hirudinea</subject><subject>hornet</subject><subject>Humans</subject><subject>Hymenoptera</subject><subject>Hymenoptera - classification</subject><subject>Hymenoptera - immunology</subject><subject>Hypersensitivity</subject><subject>Hypersensitivity - diagnosis</subject><subject>Hypersensitivity - immunology</subject><subject>Hypersensitivity - therapy</subject><subject>IgE</subject><subject>Immunotherapy</subject><subject>Mastocytosis</subject><subject>Risk Factors</subject><subject>Society</subject><subject>Tryptase</subject><subject>Venom</subject><subject>wasp</subject><subject>β-blocker</subject><issn>0954-7894</issn><issn>1365-2222</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9v1DAQxS0EokvhKyBLHIBDgv_EsY3UwzYt25UqOBSE1IvlZJ2tlyRe7AQ2B747TlP2wAXm4pHn995o9ACAGKU41rtdimnOEhIrJQjjFFEuRHp4BBbHwWOwQJJlCRcyOwHPQtghhCiT4ik4IVhkgjOxAL8urN52LtgAdbeBre701rSm66Gr4d0YO7fvjdfwR-xaqJvG-O34Hp5729twB29cZU0_wtp5uJyH90ZFYztb6Qau23boXOPi_5vzm2Wxfgu3g92YODfhOXhS6yaYFw_vKfjy4fJzcZVcf1qti-V1UjFBRCJLTBFiqKR5xRmrKCNGijKegCkpSyllKXVeZ8YwzRjFLDObmlQc84znWlN6Cl7Pvnvvvg8m9Kq1oTJNozvjhqAkyjKZEyb_SQqRZYQKyiL56i9y5wbfxTMUZiz6cSpwpMRMVd6F4E2t9t622o8KIzVlqXZqikxNkakpS3WfpTpE6cuHBUPZms1R-Ce8CJzNwE_bmPG_jVVxuZy6qE9mvQ29ORz12n9TOaecqa8fVwpf3LKrFVmpW_obnZW7FQ</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Krishna, M. T.</creator><creator>Ewan, P. W.</creator><creator>Diwakar, L.</creator><creator>Durham, S. R.</creator><creator>Frew, A. J.</creator><creator>Leech, S. C.</creator><creator>Nasser, S. M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201109</creationdate><title>Diagnosis and management of hymenoptera venom allergy: British Society for Allergy and Clinical Immunology (BSACI) guidelines</title><author>Krishna, M. T. ; Ewan, P. W. ; Diwakar, L. ; Durham, S. R. ; Frew, A. J. ; Leech, S. C. ; Nasser, S. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5828-9b130050b36c755c352e98b487132bb999b9a6f4ee5a553154edf2c717476aa33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>ACE inhibitor</topic><topic>Adult</topic><topic>Allergies</topic><topic>anaphylaxis</topic><topic>Animals</topic><topic>Arthropod Venoms - immunology</topic><topic>Arthropod Venoms - therapeutic use</topic><topic>baseline tryptase</topic><topic>bee</topic><topic>Child</topic><topic>Children</topic><topic>Desensitization, Immunologic</topic><topic>Epidemiology</topic><topic>Hirudinea</topic><topic>hornet</topic><topic>Humans</topic><topic>Hymenoptera</topic><topic>Hymenoptera - classification</topic><topic>Hymenoptera - immunology</topic><topic>Hypersensitivity</topic><topic>Hypersensitivity - diagnosis</topic><topic>Hypersensitivity - immunology</topic><topic>Hypersensitivity - therapy</topic><topic>IgE</topic><topic>Immunotherapy</topic><topic>Mastocytosis</topic><topic>Risk Factors</topic><topic>Society</topic><topic>Tryptase</topic><topic>Venom</topic><topic>wasp</topic><topic>β-blocker</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krishna, M. T.</creatorcontrib><creatorcontrib>Ewan, P. W.</creatorcontrib><creatorcontrib>Diwakar, L.</creatorcontrib><creatorcontrib>Durham, S. R.</creatorcontrib><creatorcontrib>Frew, A. J.</creatorcontrib><creatorcontrib>Leech, S. C.</creatorcontrib><creatorcontrib>Nasser, S. M.</creatorcontrib><creatorcontrib>British Society for Allergy and Clinical Immunology</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical and experimental allergy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krishna, M. T.</au><au>Ewan, P. W.</au><au>Diwakar, L.</au><au>Durham, S. R.</au><au>Frew, A. J.</au><au>Leech, S. C.</au><au>Nasser, S. M.</au><aucorp>British Society for Allergy and Clinical Immunology</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis and management of hymenoptera venom allergy: British Society for Allergy and Clinical Immunology (BSACI) guidelines</atitle><jtitle>Clinical and experimental allergy</jtitle><addtitle>Clin Exp Allergy</addtitle><date>2011-09</date><risdate>2011</risdate><volume>41</volume><issue>9</issue><spage>1201</spage><epage>1220</epage><pages>1201-1220</pages><issn>0954-7894</issn><eissn>1365-2222</eissn><abstract>Summary
This guidance for the management of patients with hymenoptera venom allergy has been prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is for use by both adult physicians and pediatricians practising allergy. During the development of these guidelines, all BSACI members were included in the consultation process using a web‐based system. Their comments and suggestions were carefully considered by the SOCC. Where evidence was lacking, consensus was reached by the experts on the committee. Included in this guideline are epidemiology, risk factors, clinical features, diagnostic tests, natural history of hymenoptera venom allergy and guidance on undertaking venom immunotherapy (VIT). There are also separate sections on children, elevated baseline tryptase and mastocytosis and mechanisms underlying VIT. Finally, we have made recommendations for potential areas of future research.
Cite this as: M. T. Krishna, P. W. Ewan, L. Diwakar, S. R. Durham, A. J. Frew, S. C. Leech and S. M. Nasser, Clinical & Experimental Allergy, 2011 (41) 1201–1220.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21848758</pmid><doi>10.1111/j.1365-2222.2011.03788.x</doi><tpages>20</tpages><oa>free_for_read</oa></addata></record> |
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subjects | ACE inhibitor Adult Allergies anaphylaxis Animals Arthropod Venoms - immunology Arthropod Venoms - therapeutic use baseline tryptase bee Child Children Desensitization, Immunologic Epidemiology Hirudinea hornet Humans Hymenoptera Hymenoptera - classification Hymenoptera - immunology Hypersensitivity Hypersensitivity - diagnosis Hypersensitivity - immunology Hypersensitivity - therapy IgE Immunotherapy Mastocytosis Risk Factors Society Tryptase Venom wasp β-blocker |
title | Diagnosis and management of hymenoptera venom allergy: British Society for Allergy and Clinical Immunology (BSACI) guidelines |
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